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This is VAERS ID 275050

Case Details

VAERS ID: 275050 (history)  
Age:   
Gender: Unknown  
Location: Arizona  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Accidental exposure, Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA03477

Write-up: Information has been received from a health professional concerning a patient who was vaccinated with a dose of Zostavax that was reconstituted with Gardasil. No symptoms were noted. The office manager reported it was human error. The vaccine was administered by a medical assistant who was working in the office as a temp and was unfamiliar with the office and the vaccine. There was no product quality complaint involved. Additional information has been requested.


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